Evidence map›Paper›PMID 34503568›Full record

ArticleNeurological research and practice2021

The PostStroke-Manager - combining mobile, digital and sensor-based technology with personal assistance: protocol of the feasibility study.

Dominik Michalski, Alexander Prost, Till Handel, Max Schreiber, Jean-Baptiste Tylcz, Daniela Geisler, Daniela Urban, Stephanie Schramm, Stefan Lippmann, Jenny Gullnick and 3 more

Open access · diamondAbstract read
In one paragraph

Article in Neurological research and practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 1 country.

Dominik MichalskiDepartment of Neurology, University of Leipzig, Liebigstr. 20, 04103, Leipzig, Germany. dominik.michalski@medizin.uni-leipzig.de.ORCID http://orcid.org/0000-0002-0206-5380
Alexander ProstDepartment of Neurology, University of Leipzig, Liebigstr. 20, 04103, Leipzig, Germany.
Till HandelInnovation Center Computer Assisted Surgery, University of Leipzig, Semmelweisstr. 14, 04103, Leipzig, Germany.
Max SchreiberInnovation Center Computer Assisted Surgery, University of Leipzig, Semmelweisstr. 14, 04103, Leipzig, Germany.
Jean-Baptiste TylczInnovation Center Computer Assisted Surgery, University of Leipzig, Semmelweisstr. 14, 04103, Leipzig, Germany.
Daniela GeislerDepartment of Neurology, University of Leipzig, Liebigstr. 20, 04103, Leipzig, Germany.
Daniela UrbanDepartment of Neurology, University of Leipzig, Liebigstr. 20, 04103, Leipzig, Germany.
Stephanie SchrammDepartment of Neurology, University of Leipzig, Liebigstr. 20, 04103, Leipzig, Germany.
Stefan LippmannDepartment of Primary Care, University of Leipzig, Ph.-Rosenthal-Str. 55, 04103, Leipzig, Germany.
Jenny GullnickDepartment of Primary Care, University of Leipzig, Ph.-Rosenthal-Str. 55, 04103, Leipzig, Germany.
Thomas NeumuthInnovation Center Computer Assisted Surgery, University of Leipzig, Semmelweisstr. 14, 04103, Leipzig, Germany.
Joseph Classen *Department of Neurology, University of Leipzig, Liebigstr. 20, 04103, Leipzig, Germany.
Galina Ivanova *Innovation Center Computer Assisted Surgery, University of Leipzig, Semmelweisstr. 14, 04103, Leipzig, Germany.
Leipzig University · DELeipzig University of Applied Sciences · DE

Funding

Sächsische Aufbaubank 100334901
6 · The paper itself

Abstract

introductionPost stroke management has moved into the focus as it represents the only way to secure acute treatment effects in the long term. Due to individual courses, post stroke management appears rather challenging and is hindered by existing barriers between treatment sectors. As a novel concept, the PostStroke-Manager combines digital and sensor-based technology with personal assistance to enable intersectoral cooperation, best possible reduction of stroke-related disability, optimal secondary prevention, and detection of physical and psychological comorbidities.

methodsThis prospective single-center observational study aims to investigate the feasibility of the PostStroke-Manager concept in an outpatient setting. Ninety patients who have suffered an ischemic or hemorrhagic stroke or transient ischemic attack will be equipped with a tablet and mobile devices recording physical activity, blood pressure, and electrocardiographic signals. Through a server-based platform, patients will be connected with the primary care physician, a stroke pilot and, if necessary, other specialists who will use web-based platforms. Via the tablet, patients will have access to an application with 10 newly designed components including, for instance, a communication tool, medication schedule, medical records platform, and psychometric screenings (e.g., depression, anxiety symptoms, quality of life, adherence, cognitive impairment). During the 1-year follow-up period, clinical visits are scheduled at three-month intervals. In the interim, communication will be secured by an appropriate tool that includes text messenger, audio, and video telephony. As the primary endpoint, feasibility will be measured by a 14-item questionnaire that addresses digital components, technical support, and personal assistance. The PostStroke-Manager will be judged feasible if at least 50% of these aspects are rated positively by at least 75% of patients. Secondary endpoints include feedback from professionals and longitudinal analyses on clinical and psychometric parameters. PERSPECTIVE: This study will answer the question of whether combined digital and personal support is a feasible approach to post stroke management. Furthermore, the patient perspective gained regarding digital support may help to specify future applications. This study will also provide information regarding the potential use of remote therapies and mobile devices in situations with limited face-to-face contacts.

trial registrationGerman Register for Clinical Trials ( DRKS00023213 .), registered 27 April 2021.

Indexed as

Digital healthMobile devicesPost stroke managementSecondary preventionStroke

Identifiers

PMID34503568
PMCPMC8426588
OpenAlexW3197585380

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.